9 research outputs found

    Le respect du régime sans gluten dans la maladie cœliaque. Etude de trente-six familles

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    We have studied the extent of compliance with their gluten-free diet in 36 children with celiac disease. Gluten was eaten knowingly (25%) or unknowingly (17%) by a substantial number of patients. Non-compliance was three times more frequent in children from immigrant or underprivileged families. The reasons why such families hardly show enthusiasm for observing or maintaining a gluten-free diet include the diet's high cost, inadequateness of allocations currently assigned by the social security system, and poor diffusion of nutritional information which is often not available to families. We suggest reinforcing the nutritional monitoring of high risk children through regular home visits by a dietician who would check the composition of the diet, give practical advice and adequate information, and provide the families with psychological support. We believe it is absolutely necessary to promulgate European regulations compelling food manufacturers to print a suggestive symbol indicating the presence of gluten and the exact gluten content on the packages of their products.SCOPUS: NotDefined.jinfo:eu-repo/semantics/publishe

    Dietary mineral intakes of young Tibetan children living in areas endemic for Kashin-Beck disease: preliminary results of a cross-sectional survey

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    Kashin-Beck disease (KBD) is an endemic and chronic osteochondropathy whose etiology remains unclear. Environmental factors are assumed to be involved, among which the selenium and iodine deficiency is frequently cited. The prevalence rate may be high in some rural areas of the Tibet Autonomous Region. The diet of the rural community is significantly different from the other communities (nomads and city-dwellers), who remains unaffected by KBD. Because their foods are mainly derived from local agriculture and artisanal production, their mineral composition may show significant discrepancies when compared with food composition data. The present survey aims at assessing the mineral dietary intakes of young Tibetan children living in rural areas endemic for the Kashin-Beck disease. A cross-sectional survey enrolling 250 children was carried out. The intakes were recorded for two days, on two different seasons, by the 24-hour food recall method. The minerals investigated were selected for their implication in bone metabolism and a specific food composition table was compiled from the China Food composition (book 1, 2nd edition), the USDA Food search for Windows (Version 1.0, Database version SR23), and a broad investigation on mineral composition of local and traditional Tibetan foods (Dermience et al., 2014). The calculation of daily intakes for the first season is now complete and some trends are emerging. Preliminary results suggest, inter alia, that the intakes of calcium are too low with unfavorable calcium to phosphorus ratio. On the contrary, sodium and manganese intakes are too high and could exceed tolerable upper levels

    Minerals and Trace Elements Intakes and Food Consumption Patterns of Young Children Living in Rural Areas of Tibet Autonomous Region, P.R. China: A Cross-Sectional Survey

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    Background and objectives: Several studies revealed clinical signs of stunting and rickets among rural populations of Tibet Autonomous Region (T.A.R.), and especially amid children. Further, these populations are affected by a bone disease named Kashin-Beck disease (KBD). However, little is known about the dietary status of this population. This survey aimed to assess the usual intakes of young Tibetan children living in rural areas around Lhasa for energy, water, and ten minerals and trace elements (Na, K, Ca, P, Mg, Fe, Zn, Cu, Mn, and Se) involved in bone metabolism. Design: A cross-sectional survey was designed. Totally, 250 pre-school children aged 3–5 years living in rural areas were enrolled. The 24-h food recall method was used to collect the intakes for two days, during two different seasons (September 2012 and April 2013). Because Tibetan foods are mainly derived from local agriculture and artisanal production, a combination of food composition tables was compiled, including specific and local food composition data. Results: The Chinese dietary recommended intakes are not met for most of the elements investigated. Intake of sodium is much too high, while usual intakes are too low for K, Ca, Zn, Cu, and Se. Bioavailability of Ca, Fe, and Zn may be of concern due to the high phytic acid content in the diet. Conclusion: These nutrient imbalances may impact growth and bone metabolism of young Tibetan children. The advantages of the implementation of food diversification programs are discussed as well as the relevance of supplements distribution
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